How To Become a National Certified Medical Assistant (NCMA): Salary & Career Paths for 2025

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Many people interested in becoming a National Certified Medical Assistant (NCMA) aren’t sure what the eligibility requirements are or how to take the first step. This confusion can delay their progress, especially with so many certification options and career paths available in healthcare.

Medical assistants play a key role in healthcare by handling both administrative and clinical tasks, and their exact duties depend on the size, location, and specialty of the practice. With jobs for medical assistants expected to grow 15% from 2023 to 2033—much faster than average—now is the perfect time to explore this path.

This guide, created by experts in career planning, will explain how to become an NCMA, what to expect from the role, and how to navigate the journey with confidence.

Key Things You Should Know About Becoming a National Certified Medical Assistant

NCMAs perform both administrative and clinical tasks, supporting healthcare teams and ensuring smooth daily operations.
A well-rounded study plan using NCCT resources and consistent practice is essential to passing the NCMA exam.
NCMA certification opens doors to specialized roles, management positions, and pathways into other healthcare careers.

What does a National Certified Medical Assistant do?
What are the steps to becoming a National Certified Medical Assistant?
What are the eligibility requirements for NCMA certification?
How do you prepare for the NCMA exam?
How much does it cost to become a National Certified Medical Assistant?
How much do NCMAs make in 2025?
What is the difference between NCMA and other medical assistant certifications?
Why Should I Choose an online medical assisting program for NCMA Preparation?
How can I select a quality NCMA training program?
Should I pursue further education after NCMA certification?
Is pursuing advanced education beneficial for NCMAs?
What skills and traits make a successful NCMA?
What are the career paths after becoming an NCMA?
What is the job outlook for NCMAs in 2025 and beyond?
Other Things You Should Know About NCMA

What does a National Certified Medical Assistant do?

A National Certified Medical Assistant (NCMA) supports healthcare teams by performing both administrative and clinical tasks in outpatient settings. Their responsibilities help keep medical offices, clinics, and specialty practices running efficiently.

The exact tasks of a national certified medical assistant depend on the size and type of the healthcare facility, as well as state regulations. In general, NCMAs work under the supervision of licensed healthcare providers and may perform the following:

Administrative duties

Answer phones and schedule appointments
Handle patient intake forms and update medical records
Submit insurance forms and manage billing tasks
Process prescription refills and communicate with pharmacies
Keep financial records and manage basic bookkeeping tasks

Clinical responsibilities

Take patient histories and record vital signs
Explain treatments, diets, and medication instructions
Prepare and clean exam rooms and medical tools
Assist with basic procedures like injections or suture removal
Collect and prepare lab specimens like blood or tissue samples
Perform routine diagnostic tests such as EKGs or x-rays

For those interested in pursuing this role, learning how to become a medical office assistant involves completing relevant training programs that cover both administrative and clinical skills, preparing you to manage these diverse responsibilities effectively.

By mastering a broad range of duties, national certified medical assistants ensure patients receive organized, quality care while helping medical providers focus on treatment.

What are the steps to becoming a National Certified Medical Assistant?

To become a National Certified Medical Assistant (NCMA), you’ll need to meet eligibility requirements, apply for the exam, and maintain your certification. Here’s a step-by-step breakdown to guide you through the process.

Step 1: Check your eligibility

Before you apply for the NCMA exam, you’ll need to make sure you qualify through one of several routes. These typically include options for students, recent graduates, working professionals, and those with military training. Full details about eligibility categories and documentation are explained later in this guide.

Step 2: Prepare for the exam

Study with NCCT-approved tools:

Practice exams (basic or plus)
Interactive review system
Candidate handbook and test plan
Sample questions

Step 3: Submit your application

Apply online by creating an NCCT account. Upload documents like diplomas, transcripts, or employer verification forms based on your eligibility route. If you prefer paper, you can fax or mail your application instead but it may take longer.

Step 4: Take and pass the NCMA exam

Format: 150 scored questions + 15 pretest items
Time: 3 hours
Type: Multiple-choice and other formats like drag-and-drop
Score: 70% or higher to pass

You’ll get your result immediately. Certification follows within 7–10 business days.

Step 5: Maintain your certification

Renew annually
Complete 12 hours of continuing education
Pay renewal fee

Use NCCT’s online education or approved external providers. If using outside credits, there’s a $10 audit fee. If you’re still unsure whether this path is right for you, comparing roles like MA vs CNA may help clarify your career direction.

What are the eligibility requirements for NCMA certification?

To earn NCMA certification, you must meet specific eligibility criteria and be prepared to pass a weighted exam with a minimum score of 70.

Exam eligibility pathways

You can qualify to take the NCMA exam through one of these five options:

Current high school student in an NCCT-authorized medical assistant program
Graduate of an NCCT-authorized program within the past five years
Currently enrolled graduate of a qualifying program (with documents submitted within two years)
One year of full-time medical assisting experience plus a high school diploma
Completed U.S. military training as a medical assistant

Each route requires different documents, such as diplomas, transcripts, or proof of experience.

What to expect from the exam

The exam includes 150 scored questions, each weighted by difficulty. A harder question earns more points than an easier one. You’ll need at least a 70 on the sliding scale to pass.

Retake policy

You can attempt the NCMA exam up to four times in total:

1st & 2nd fail: Wait 30 days before trying again
3rd fail: Wait 1 year before taking the 4th attempt
After 4th fail: You’ll need to explore other certifications

Each version of the exam draws from a large question bank, so while some questions may repeat, your test will be different each time.If you’re still exploring your options in healthcare, the highest paying medical jobs with the least schooling can be a good starting point.

How do you prepare for the NCMA exam?

To prepare for the NCMA exam, you’ll need to review key topics, focus on your weak areas, and practice answering test-style questions.

Start with the exam topics

Go through the NCMA test plan provided by the NCCT. This outline helps you review major categories like clinical procedures, pharmacology, and medical office tasks. It won’t include everything, but it gives you a solid place to begin.

Focus on your weak areas

Mark the subjects you’re less confident about and give them extra attention. It’s still important to review all topics, but plan your time around the areas that need the most improvement.

Build a realistic study schedule

Treat studying like a class. Set aside quiet time each week to focus. Let friends and family know you’re preparing for something important so you won’t be interrupted.

Space out your study sessions

Avoid cramming. Spread your study sessions across different topics over several weeks. This helps you retain information better and reduces stress.

Take practice tests

The NCCT offers study resources from the NCCT including full-length practice exams that simulate the real test. Use them to get familiar with the exam format and pacing.

Learn test-taking strategies

Practice eliminating wrong answers and managing your time during multiple-choice questions. Knowing how to approach the test is just as important as knowing the content.

Take care of your health

Eat well, stay hydrated, and get enough rest. A clear mind and rested body can help you stay focused during the exam.

Connect with past test-takers

Ask people who’ve passed the NCMA exam what helped them most. Their insights can give you an edge in your own prep.

How much does it cost to become a National Certified Medical Assistant?

The total cost to become a National Certified Medical Assistant includes an exam fee and an annual recertification fee. The NCMA exam fee is $119, which covers the cost of scheduling and taking your certification test. Once certified, you’ll need to renew your credential every year. The recertification fee is $89 annually. This keeps your certification active and shows employers that your knowledge is up to date.

Some employers cover certification costs for new hires or current employees. If you’re eligible, this means you could become an NCMA without paying anything out of pocket. It’s worth asking during your interview or checking your workplace benefits. If you’re looking into career paths with a strong return on investment, you may also want to explore other top paying medical bachelor's degrees.

How much do NCMAs make in 2025?

Most National Certified Medical Assistants (NCMAs) can expect to earn around $42,000 per year, based on the median annual wage reported in the most recent data. Pay varies widely depending on location, setting, specialty, and whether the assistant is certified.

Median Pay by Workplace:

Outpatient care centers: $46,090
Hospitals (state, local, private): $44,350
Physicians’ offices: $40,670
Other health practitioners’ offices: $36,480

Certification Can Boost Your Pay

According to industry salary data, certification may lead to a higher paycheck. Non-certified medical assistants earn a median of $43,409 per year, while certified professionals average around $48,071. Your actual income will also depend on where you live and how many years you’ve worked in the field. Urban centers often pay more to match local cost of living.

Interested in how different credentials compare? This guide comparing the NHA CCMA or NCCT NCMA certification explains the earning potential and differences between the two.

What is the difference between NCMA and other medical assistant certifications?

The NCMA credential is one of several certifications available to aspiring medical assistants. What sets it apart is its focus on real-world competencies and flexible eligibility routes for both students and working professionals.

Key Differences Between NCMA and Other Credentials

Issuing Organization

NCMA is offered by the National Center for Competency Testing (NCCT). Other well-known certifications include:

CCMA from the National Healthcareer Association (NHA)
CMA (AAMA) from the American Association of Medical Assistants
RMA from the American Medical Technologists (AMT)

Eligibility Requirements

NCMA allows candidates to qualify through multiple routes: graduation from an NCCT-approved program, work experience, or military training. Some other certifications only allow eligibility through recent program completion. If you’re wondering how to become a certified medical administrative assistant, the NCMA offers a flexible path that can accommodate various educational and professional backgrounds.

Exam Format and Content

While all certification exams cover administrative and clinical topics, each exam has its own structure. The NCMA exam includes 150 scored questions and 15 unscored pretest questions, using both multiple-choice and interactive formats.

Recognition and Preference

Some employers may prefer one certification over another depending on regional hiring trends or affiliations. However, all major certifications—NCMA, CCMA, CMA, and RMA—are nationally recognized and valid proof of a medical assistant’s competence.

Why Should I Choose an online medical assisting program for NCMA Preparation?

Enrolling in an accredited online medical assisting program provides flexible learning that aligns with the demanding schedules of working professionals. Such programs offer comprehensive, up-to-date curricula with interactive modules and virtual labs designed to build core competencies without the constraints of traditional classroom settings. This approach not only facilitates a self-paced study plan but also equips candidates with the practical skills necessary for NCMA certification and real-world clinical environments.

How can I select a quality NCMA training program?

When evaluating NCMA training programs, consider factors such as accreditation, curriculum rigor, instructor expertise, and program outcomes. Review whether the curriculum meets current industry standards and provides comprehensive preparatory content. Compare student success metrics, including exam pass rates and post-certification placement statistics, to gauge program effectiveness. Additionally, assess the flexibility and support services offered, such as hands-on clinical training opportunities and career guidance. For cost-effective and flexible learning options, candidates may also explore healthcare administration online programs that integrate administrative coursework with practical clinical components.

Should I pursue further education after NCMA certification?

Elevating your credentials with additional education can open pathways to leadership roles and broaden your expertise in healthcare management. Advanced study reinforces analytical and strategic skills essential for navigating complex clinical environments and administrative systems. For professionals seeking to accelerate their career within healthcare, enrolling in a fast track online bachelor's degree in healthcare administration can provide a competitive edge by deepening knowledge in policy development, operational efficiency, and financial oversight in healthcare institutions.

Is pursuing advanced education beneficial for NCMAs?

Advanced education can significantly enhance the career trajectory of an NCMA by providing the managerial and strategic skills required for leadership roles in healthcare. By complementing clinical expertise with sound business acumen, NCMA professionals can transition into supervisory and administrative positions, addressing operational challenges and contributing to organizational growth. Moreover, further education offers exposure to emerging healthcare trends, regulatory frameworks, and financial management practices that are crucial for decision-making in complex healthcare settings. For instance, programs such as accelerated MBA healthcare management online allow professionals to streamline their learning in areas directly applicable to modern healthcare management, ultimately broadening both job opportunities and earning potential.

What skills and traits make a successful NCMA?

A successful National Certified Medical Assistant (NCMA) combines technical knowledge with strong interpersonal skills. Beyond mastering clinical and administrative tasks, they bring reliability, compassion, and clear communication to fast-paced healthcare settings.

Core Skills Every NCMA Needs

Clinical Competence: NCMAs must accurately take vital signs, collect lab specimens, assist with exams, and follow protocols for sterilization and safety. Precision matters in both patient care and documentation.
Administrative Skills: They handle scheduling, billing, and medical records. Familiarity with electronic health records (EHR) systems is especially valuable in most workplaces.
Communication: Explaining instructions clearly, easing patient anxiety, and updating physicians all require sharp communication skills—both verbal and written.
Organization and Time Management: With a mix of tasks to juggle daily, NCMAs must stay organized and prioritize well to keep clinics running smoothly.
Empathy and Patience: Working closely with patients—especially those who are nervous or unwell—calls for a calm, empathetic attitude.

For those considering other patient-facing roles, comparing the responsibilities of a licensed practical nurse vs certified nursing assistant can also offer a helpful perspective. Each role requires different strengths, but all benefit from a caring, adaptable mindset.

What are the career paths after becoming an NCMA?

After becoming a National Certified Medical Assistant (NCMA), professionals can pursue a variety of roles that offer long-term growth in healthcare. Some choose to specialize, while others use the NCMA credential as a stepping stone toward higher-level positions.

Career Progression Options

Lead Medical Assistant: With a few years of experience, NCMAs can move into supervisory roles, managing teams of medical assistants and handling more complex office operations.
Clinical Office Manager: For those with strong administrative skills, managing a physician’s practice or outpatient clinic is a natural next step. This role involves overseeing staff, budgets, and workflow.
Specialized Medical Assistant Roles: Some NCMAs choose to specialize in areas like pediatrics, cardiology, or dermatology. These roles often involve advanced procedures and more focused patient care.
Healthcare Educator or Trainer: Experienced NCMAs may become instructors or trainers for medical assistant programs, helping others prepare for certification and clinical work.
Transitions to Other Allied Health Careers: Some use their background to pursue new roles like phlebotomy technician, health information specialist, or even transition into roles related to best online medical transcription programs.

NCMA certification opens the door to a dynamic career in healthcare, with opportunities to grow, specialize, and shift directions as your interests evolve.

What is the job outlook for NCMAs in 2025 and beyond?

The job outlook for National Certified Medical Assistants (NCMAs) is strong and expected to remain that way through the next decade. According to projections from the U.S. Bureau of Labor Statistics, employment of medical assistants will grow by 15% from 2023 to 2033, which is much faster than the average for all occupations. This growth is driven largely by the increasing healthcare needs of the aging population, especially baby boomers, who are entering age groups that require more frequent medical care.

Each year, about 119,800 job openings for medical assistants are expected, due to both industry growth and the need to replace workers who retire or change careers. For those seeking high paying medical assistant jobs, certain specialties and geographic locations offer higher salaries and greater advancement opportunities.

Where NCMAs Work

Physicians’ offices
Outpatient care centers
Hospitals

Other work settings include:

Dental clinics
Physical therapy practices
Nursing homes

The rising demand for healthcare services means NCMAs will continue to play a key role in supporting physicians and improving patient care. Among the many pros of being a medical assistant are flexible work environments, opportunities to develop both clinical and administrative skills, and the satisfaction of making a positive impact on patients’ health and well-being. With this strong job outlook, pursuing NCMA certification remains a smart choice for long-term employment stability.

Here’s What People Have to Say About NCMA Certification

Getting certified as an NCMA gave me the confidence I needed to apply for better-paying jobs in healthcare. I went from working part-time in admin to assisting with real patient care every day. — Jasmine

I liked that I could qualify for the exam through my work experience—it made the process flexible and realistic. Now I have national recognition for the skills I’ve been building for years. — Carlos

The NCMA exam was tough, but studying for it helped me sharpen skills I hadn’t used since school. Passing it felt like a personal win, and I landed a full-time role in a cardiology office two weeks later. — Phill

Key Findings

Medical assistant employment is projected to grow 15% from 2023 to 2033, much faster than the average for all occupations.
Roughly 119,800 job openings for medical assistants are expected each year over the next decade due to industry growth and workforce turnover.
The median annual salary for National Certified Medical Assistants is around $42,000, with higher earnings in outpatient centers and hospitals.
The NCMA certification exam costs $119 to take, and maintaining certification requires an $89 annual renewal fee.
NCMA exam has a pass rate of less than 60%, including both first-time and repeat candidates, highlighting the need for strong preparation.

Other Things You Should Know about NCMA Certification

Can you work in any state with an NCMA certification?

Yes, the NCMA certification is recognized nationwide. It’s a national credential issued by the National Center for Competency Testing (NCCT), so you can work in any U.S. state once certified. However, some employers or state regulations may prefer additional documentation or local registration. Always check with your prospective employer or state board to confirm specific hiring requirements, especially in states with more defined scopes of practice for medical assistants.

Does the NCMA certification include CPR training?

No, CPR training is not included as part of the NCMA certification process. While it’s a common requirement for many medical assistant positions, CPR certification must be obtained separately through approved providers like the American Heart Association or Red Cross. Many medical assistant training programs include CPR as part of the curriculum, but if you’re applying independently, you’ll need to complete CPR certification before or after passing the NCMA exam.

Can high school students start preparing for the NCMA exam?

Yes, high school students can begin preparing if they’re enrolled in an NCCT-authorized medical assistant program. These programs often allow students to sit for the exam before graduation, with full certification granted after completing the program. Even outside formal enrollment, students can get a head start by taking classes in biology, anatomy, and health sciences. Building foundational knowledge early makes it easier to meet eligibility and pass the exam after graduation.

What happens if you miss your scheduled NCMA exam?

If you miss your scheduled NCMA exam, you may forfeit your testing fee unless you reschedule in advance. NCCT allows candidates to reschedule without penalty up to one business day before the test date. If you don’t show up or cancel too late, you’ll need to reapply and pay again. Emergencies may be considered on a case-by-case basis with documentation. Always review your testing center’s policies before exam day.